Before your procedure you will be referred to the urology/ urogynae nurse specialist to be taught Clean Intermittent Self Catheterisation. You must feel happy with this procedure to empty your bladder using a small tube, before your injections can be performed. Your urine will be tested to ensure that you are clear of urinary tract infection. You will be asked to take a sample of urine to your GP 10 days before your procedure to test for infection. Patients should not undergo injections if there is a suspicion of infection.
If you are pregnant or may become pregnant please discuss this with your doctor; Botox injections are NOT advised. If you are taking Aspirin, this should be stopped 7 days before the procedure to reduce the risk of bleeding.
You will be asked to provide a fresh sample of urine so that it may be tested for infection. If you are of childbearing age you will be asked to bring in an early morning sample of urine to test for pregnancy. You will then proceed to having the injections.
This procedure is carried out under local or general anaesthetic. An anaesthetic gel will be applied to the urethra and a flexible bladder telescope (cystoscope) is passed into the bladder. The bladder will then be injected with 10 units of Botox at 20 to 30 spots.